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Cutaneous malignant melanoma of the oral cavity following skin graft reconstruction: Case report
Author(s) -
Mayo Zachary,
Seyedin Steven,
Marquardt Michael,
Mohiuddin Imran,
Milhem Mohammed,
Liu Vincent,
Pagedar Nitin,
Anderson Carryn
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25417
Subject(s) - medicine , melanoma , tongue , nodule (geology) , surgery , basal cell , dermatology , thigh , split thickness skin graft , pathology , paleontology , cancer research , biology
Background Malignant melanomas on skin graft recipient sites are rare, with few cases reported in the literature. Methods We present a case report of a patient with recurrent cutaneous melanoma in the grafted anterolateral thigh flap of the tongue. Results A patient underwent hemiglossectomy with free flap reconstruction for squamous cell carcinoma of the tongue. Five years later the patient was seen with a 1‐cm nodule and surrounding erythroplakia at the recipient site of the graft. Analysis revealed cutaneous malignant melanoma. Patient then related a remote history of a suspected skin melanoma of the donor leg that had been treated with excision, with unknown histology. Conclusion This may be the first reported case of a cutaneous malignant melanoma in the oral cavity following an anterolateral thigh free flap reconstruction, emphasizing the importance of obtaining a comprehensive history of skin cancers and closely inspecting the donor site prior to graft harvesting.